675例HIV尿液自检男男性行为人群的特征分析

Analysis of Characteristics of 675 Men Who Have Sex With Men After Urine Self-examination for HIV

目的了解使用尿液自检试剂的男男性行为人群(men who have sex with men,MSM)特征,为推广尿液自检提供科学依据。方法2021年6—12月,设计MSM人群尿液自我检测平台,对1年内与同性有过插入性肛交/口交行为的男性发放尿液自检试剂,自检阳性者跟踪确证,采用SPSS 25.0统计学软件进行统计分析。结果共有675例MSM申领开展评估和自检包,639例回传有效检测结果,HIV筛查阳性率为1.72%(11/639)。申领评估和自检包的675例MSM地区分布上,福州市本地364例,占53.93%、省内其他地市244例,占36.15%、省外67例,占9.93%。675例MSM中,艾滋病防治知识知晓率88.59%(598/675);最近6个月发生过肛交行为占88.30%(596/675);每次使用、有时使用、从未使用安全套者分别占50.25%(300/596)、44.05%(263/596)、5.53%(33/596);最近一次作为被插入方发生肛交行为占41.93%(283/675);使用精神活性物质占26.81%(181/675);最近一年曾患性病比例9.04%(61/675);既往未接受艾滋病抗体检测40.44%(273/675)。结论尿液自检模式有利于推动MSM扩大检测,应依托新媒体加大尿液自检宣传力度,推动MSM参与检测。

Objective To understand the characteristics of men who have sex with men(MSM)using urine self-test reagent and provide scientific basis for popularizing urine self-test.Methods From June 2021 to December 2021,a urine self-testing platform was designed for MSM population,and urine self-test reagents were distributed to men who had anal or oral sex with men within one year.The positive self-tested men were followed up and confirmed.SPSS 25.0 statistical software was used for statistical analysis.Results A total of 675 MSM applied for assessment and self-test kits,and 639 returned valid test results,with a positive rate of HIV screening of 1.72%(11/639).Among the 675 MSM for assessment and self-examination packages,there were 364 in Fuzhou,accounting for 53.93%,244 in other cities within the province,accounting for 36.15%,and 67 outside the province,accounting for 9.93%.Among 675 MSM,the awareness rate of AIDS prevention and control knowledge was 88.59%(598/675).88.30%(596/675)had anal sex in the past 6 months.The proportions of using condoms every time,sometimes and never were 50.25%(300/596),44.05%(263/596)and 5.53%(33/596),respectively.41.93%(283/675)had anal sex with the inserted-partner in the last time.Use of psychoactive substances accounted for 26.81%(181/675).The proportion of sexually transmitted diseases in the past year was 9.04%(61/675).40.44%(273/675)had not received HIV antibody test in the past.Conclusion The urine self-testing model is beneficial to promote the expansion of testing in MSM.New media should be used to strengthen the publicity of urine self-testing and promote MSM to participate in testing.